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HomeMy WebLinkAboutSWG2026-00181 - SWG Application / As-Built - 6/23/2026 MASO N cOu NTY 415 N 6TH STREET,SHELTON, ,WA 98584 • SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 On-Site Sewage System Permit: SWG2026-00181 APPLICANT Ehlert, Jacob Phone: 360-551-3963 Address: 538 SE Dogwood rd Port Orchardq,WA 98367 OWNER SMYTH SR RICHARD L Phone: 360-551-3963 Address: 4350 WEYERS LN SW PORT ORCHARD, WA 98367-9329 SEPTIC DESIGNER Jim Zimny Phone: 360-516-7287 Address: 7178 windflower pl nw Seabeck, WA 98380 Site Address: 150 NE Steelhead Dr S Primary Parcel Number: 223255006004 Permit Description: new 3BR Gravity Permit Submitted Date: 06/07/2026 Permit Issued Date: 06/23/2026 Issued By: Jeff Wilmoth Current Permit Fees Paid: $570.00 (additional fees may be required upon installation of system). Permit Expiration Date: 06/16/2029 (based on date of inspection) Permit Conditions: I Approval of this septic permit does not approve the building location. Building location is subject to approval from all applicable departments and regulations. 2 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 3 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 4 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 5 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 6 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 7 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. MASON COUNTY 415 N 6TH STREET,SHEL-967 ,E 98584 • SHELTON:360-427-9670,EXT 400 BELFAIR:360-275-4467,EXT 400 Public Health & Human Services ELMA:360-482-5269,EXT 400 FAX:360-427-7787 8 The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and/or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: masoncountywa.gov/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. - �OFFICIAL USE ONLY • . MASON COUNTY DAIERE I ( CD AMOUNT REC=M :m t RC{EJVED BY: Public Health & Human Services 5701 W L f& jie, ço m Envtrorunental Health 360.427-9670,ext 400 or 360-275.4467,ott 400 f� 415 N.6lfi Street-Shelton WA 98584 SWG rti 1 _ �^ X ' O j� y Z (I) ON-SITE SEWAGE SYSTEM APPLICATION APPLICANT PHONE rn m JK Ehlert Inc 360-551-3963 I c MAILING ADDRESS-STREET.CITY,STATE.ZIP CODE 538 SE Dogwood rd, Port Orchard WA 98367 m SITE ADDRESS-STREET.CITY,ZIP CODE C- , 150 NE Steelhead Dr S Belt air WA 98528 l� ® (` I NAME OF DESIGNER PHONE N Jim Zimny 360-516-7287 �) NAME OF INSTALLER PHONE I Final Vision Inc 360-801-5681 m W PERMIT TYPE(select one) DRINKING WATER SOURCE I RESIDENTIAL OSS COMMUNITY OSS fl COMMERCIAL OSS IJ PRIVATE INDIVIDUAL WELL 'PRIVATE TWO-PARTY WELL 0 TYPE OF WORK(select one) )I PUBLIC WATER SYSTEM Mission Creek Tracks I 1 N NEW CONSTRUCTION!UPGRADES !J REPAIR!REPLACEMENT OTHER DETAILS(select all that apply) ❑ TABLE X REPAIR SUBMITTALS ❑SURFACING SEWAGE ❑ EXISTING FAILURE ❑SHORELINE ❑ • DESIGN FORM(REQUIRED) U SEPTIC DESIGN(REQUIRED) BEDROOMS I LOT SIZE I WAS LOT CREATED AFTER 4/1/2025? r- I r ❑ WAIVER(S)(IFAPPLICABLE) 3 1.00 EYEs IJNO n DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.fccAed gate) From hwy 3 turn onto WA-300 W (NE Clifton Rd) and drive for 3.4 miles and turn right on F� I Mission Creek Rd for 2.8 miles then turn left onto NE Steelhead Dr and then next left is NE Steelhead Dr S for about .3 miles. See pink ribbon hanging on the trees off of road for trail ° I into test holes (pink ribbon adjacent to mail boxes). L. I ç Test holes all marked with pink ribbon on the left as you walk in about 30-60ft. STEMUSTBEFLAGGEDFROMM41HROADANDTESTHOLESMUSTBEFLAGGEDN7TH7ESTHOLENUA98ERS. I c OFFICIAL USE ONLY BELOW THIS LINE UPGRADE!FAILURE SOURCE(tor reporting purposes) ❑VOLUNTARY ❑MAINTENANCE/PUMPING❑ BUILDING PERMIT❑HOME SALE❑COMPLAINT ❑OTHER: INSPECTOR SOIL LOGS COMMENTS!CONDITIONS 5D *( L .d. 0 SOIL CODES: RECORD DRAWING AND INSTALLATION REPORT V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. I PECTOR SIGNATURE DATE APPLICATION EXPIRATION DATE NAPPROVEDI ISSUED BY DATE Revised:01/09/2026 T IS MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE 4t DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 2 5 . 5 0 06 0 . 0 4' A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. " Scaled layout sketch,including all applicable items on checklist. Scaled plot plan,including all applicable items.on checklist. "Cross-section sketch,including all applicable items on checklist. This form may be.scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17" PARCEL IDENTIFICATION Permit Number: SWG Designer's Name: Jim Zimny Applicant's Name: JK Ehlert Inc Designer's Phone Number: 360-516-7287 Mailing Address: 538 SE Dogwood rd Designer's Address: 7178 Windtlower PI NW Port Orchard WA 98367 City State Zip Seabeck WA 98380 City State Zip Designer's Email apddesigns@icloud.com DESIGN PARAMETERS Treatment Device •❑Glendon ❑ Sand Filter ❑Mound ❑ Sand Lined Drainfield ❑ Recirculating Filter ❑ATU ❑Other Treatment Level(check all that apply): ❑ A ❑ B ❑ C ❑ BLI ❑ BL2 ❑ BL3 IE O N �/Drainfield Type Ij 'Gravity ❑Pressure 1p Trench ❑Bed ❑ Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 3 Schedule/Class 3034 Daily Flow:Operating Capacity 270 gpd Length ft Daily Flow:Design Flow 360 gpd Diameter in Septic Tank Capacity(working) 1250 gal Number V Receiving Soil Type(1-6) 4 Separation 5' CtC ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 600 ft2 Total Number of Orifices NA Designed Primary Area 600 ft2 Diameter in Designed Reserve Area 600 ft2 Spacing P� in Trench/Bed Width 3 ft y� ti Manifold Trench/Bed Length 200 ft Schedu ass f NA Elevation Measurements Len a4' e"s n2 =gym, V ft LICEN E ESIGNER Original Drainfield Area Slope 3 % Diame er 4 in New Slope,If Alteredmanifold 3 % Preferred configuration used? O Yes O No Depth of Excavation Up-slope 18 in Transport Pipe from Original Grade Down-slope 17 in Schedule/Class 3034 Designed Vertical Separation 42 in Length 35 ft Gravel-based Drainfield Required? ❑ Yes 'No Diameter 4 in Pump Required? O Yes 6 'No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day Diff.in Elevation Bcrivccn Pump&Uppermost Orifice ft Dose quantity gal Drainfield Squirt Height/Selected Residual(head) ft Chamber Capacity(flood) gal Uppermost Orifice❑Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head gp n ❑ Timer O Elapse Meter O Event Counter Calculated Total Pressure Head g i ft4 7I imp ump on ,Pump off ,.Z Comments Ltl JUN 3 `l 6 MASON COUNTY ENVIRONMENTAL HAI 114 Revised:6/11/2025 DESIGN FORM—PAGE TWO Assessor's Parcel Number:, 2 2 3 ' 2 ' 5 ' 5 ' 0 0 6 ' 0 0 4 Penuit Number: SWG o2 O .(o -CX) [ P DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch vi Test hole locations Drainfield orientation and layout Reference depth from original grade: VI Soil logs VI Trench/bed dimensions and VI Septic tank VI Property lines critical distances within layout Drainfield cover Existing and proposed wells VI D-Box/Valve box locations Reference depth from original grade within 100 ft of property VI Septic tank/pump chamber and restrictive strata: VI Measurements to cuts,banks,and locations V Laterals,trench/bed,top and surface water and critical areas if Observation port location bottom Location and orientation of Clean-out location ❑ Curtain drain collector curtain drain and all absorption ❑ Manifold placement 0 Sand augmentation components ❑ Orifice placement Other cross-section detail: VI Location and dimension of Lateral placement with distance Observation ports/clean-outs primary system and reserve area to edge of bed Other Information 9f Buildings ❑ Audible/visual alarm referenced Yes No J6 Direction of slope indicator 4( Scale of drawing shown on scale ❑Design staked out Q6 Waterlines bar ❑ O Recorded Notices attached 16 Roads,easements,driveways, V Elevation benchmark a1 relative ❑ ❑Waiver(s)attached parking ;; e ons of system m onents 0 O Pump curve attached North an and ❑ ❑ Evaluation of failure shown o e bar �. Non-residential justification 4JUN 2 3 232r �` _ ;: 0 0 Waste strength MASON 01!NTY FNVIRONM TEAI a ,3 ❑ O Flow The undersigned designer must be notified by i t er at time of installation VYes ❑ No 6fzlp Signature of 7 ' Iner Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local o e regulations: End onn tal Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. �✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓C� l ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from..Mason County Public Health. An Installation Fee is re uired. This form may be scanned and available for public view on the Mason County Web site. Revised:6/11/2025 el 272' Not a Surve el 263' DESIGNER INFO: Datum NAD8 Jim Zimny ♦A 7178 Windflower PL NW U) Z Seabeck,WA 98380 TH1 = 0-60"brown sandy loam -Type 4 Soil APDdesigns@icloud.com TH2 = 0-61"brow sandy loam -Type 4 Soil m DESIGNER STAMP: TH3 = 0-51"brown sandy loam -Type 4 Soil e N� �� 0193033 Janfog Allan Zimny LICENSED DESIGNER LEGEND e 2Ct © Bench Mark Property Line ...... Power line Water line 432' 438' Deck APPLICANT INFO: Tank shall be no closer 27f than sft from\house I ggfr a tea 8 JK Ehiert Inc 150 NE Steelhead Dr S ;� �2 rp Belfair,WA 98528 r Deck c #22325-50-06004 � O ' � II, COUNTY STAMP: I: w /'I I � tJ I Water line to be at least 1015 away from all septic 11' I 129' w a components jl ll�� p1 20ft 1 1 l i o-oy '.7<TH3 6 C Z illC) y3\SAPP �� M T ((� c�9 z1 SOft 4'•*� W New power pole •I ) - _________ - SCALE 1"=40' DATE 5/26/26 el 119' 100' el 122' .1 r�. � Q SMEETN0: NE Steelhead Dr S loll � t ' { r Advantage Perc & Design Construction Notes for 3 Bedroom Gravity System Gravity with graveless chambers(Rock and pipe maybe substituted). Install 5ea 40' Laterals. Use a 6 hole d-box and speed levelers. Install laterals on 5'foot centers. Install 18"trench depth on low side of trench and maintain 36" of vertical separation Install level and along contours. Install in dry weather only. Use 1250-Gallon septic and add risers for pumping and maintenance System designed for typical residential waste strength sewage only. , a JUN 23 3 2026 MASON COUNTY ENVIRONMENT' LTH A WHY Z� 12 33 O J m aAj •7Jmny LICI_N E fl' NER Typical Trench Profile Typical D box and Riser Assembly County Stamp{ 4"Clean out with removable cap Flow 6 n Min Sandy Cover 4'303 a locking riser lid 4 t Max T nth Dept s d levers lZ"Min Trench Depth ' J/ J Designers Stamp (o +" Vertical Separation 4'3Q34 eL ' moo= +rrrwowriwnwrr w �anwnriur�rr u�u��rrrrr•� Resmctive layer or water tale Jim Zlmny Not Yo Scale Advantage Perc a Design Not to Scale 7178 Windflower PI'NW Seabedr,WA 98380' (360)516--7287 Applicant info ��►ItAA�AAJ�n A/i�I1AAAAA4% AlLAw�lRAd1KAAAAAJ 1 '- Screw on fitting 4'Obsevation Port v W/removable cap Sandy Cover t7/'_' [______________________ 7 - raveless_Chamber-- - ---- -Parcel-Info-• Typical Side View gravity Gravelss chamber W/Observation/Clean Port hJ Date; a MASON COUNTY ENVIRONMENTAL HEALTH Page o of i3NOJS3Q 3 N3311 M.Ru IVs y17b� A�'�1Nn0pNOsbWLkkEi aM AMONLOIDU cos 30VAUD W / 3Q1dt��H81NH -nosm,swimanowass